Individual
MS. AMANDA MARIE GOUDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
25 WELLESLEY CIR, EAST TAUNTON, MA 02718-1032
(508) 824-7452
Mailing address
25 WELLESLEY CIR, EAST TAUNTON, MA 02718-1032
(508) 824-7452
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
390101070253261
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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